Provider Demographics
NPI:1922038850
Name:HERTLER, CHRISTINE (CDE, RN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:HERTLER
Suffix:
Gender:F
Credentials:CDE, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2000
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2000
Mailing Address - Country:US
Mailing Address - Phone:518-828-8363
Mailing Address - Fax:518-697-3388
Practice Address - Street 1:1301 RIVER ST
Practice Address - Street 2:SUITE 204
Practice Address - City:VALATIE
Practice Address - State:NY
Practice Address - Zip Code:12184-9694
Practice Address - Country:US
Practice Address - Phone:518-758-2792
Practice Address - Fax:518-758-1439
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY260926163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator